Special Issue "Best Practices for Cardiovascular Team-Based Care: Cardiac Heart Diseases (CHD) Clinical Conundrum"

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiovascular Medicine".

Deadline for manuscript submissions: 16 November 2023 | Viewed by 857

Special Issue Editors

Department of Cariology, Big Metropolitan Hospital of Reggio Calabria, 89129 Reggio Calabria, Italy
Interests: atrial fibrillation; supraventricular arrhythmias; ventricular arrhythmias; sudden cardiac death (SCD); acute and chronic heart failure; ischemic heart disease; pacemaker; cardiac resynchronization therapy (CRT); implantable cardioverter defibrillator (ICD)
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Department of Cardiology, P.O. Sant’Antonio Abate, ASP Trapani, 91016 Erice, Italy
Interests: cardiovascular epidemiology; cardiovascular prevention; risk factors; coronary heart disease

Special Issue Information

Dear Colleagues,

Cardiac heart diseases (CHD) represent a clinical conundrum.

Team-based care uses multidisciplinary teams, health professionals, community health workers, and others.

Practical insights for physicians who cope with patients with cardiopathies should be constantly updated, addressing state-of-the-art of the entire spectrum of cardiac heart failure(HF), including HF with preserved ejection fraction (HFpEF), HF with mid-range ejection fraction (HFmEF), and HF with reduced ejection fraction (HFrEF), coronary heart diseases (CHD), complex revascularization of coronary arteries and peripheral arterial disease (PAD), and other cardiomyopathies.

This Special Issue aims to highlight best practices for managing CHD as well as the assessment of emerging new therapies, treatment options, more advanced team-based strategies, clinic workflows and protocols.

Dr. Fabiana Lucà
Dr. Maurizio G. Abrignani 
Guest Editors

Manuscript Submission Information

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Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.


  • team-based care
  • multidisciplinary teams
  • health professionals
  • heart failure(HF)
  • HFpEF
  • HFmEF
  • and HFrEF
  • coronary heart diseases (CHD)
  • revascularization
  • peripheric artery diseases (PAD)
  • cardiomyopathies

Published Papers (1 paper)

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Outcome of Surgery for Ischemic Mitral Regurgitation Depends on the Type and Timing of the Coronary Revascularization
J. Clin. Med. 2023, 12(9), 3182; https://doi.org/10.3390/jcm12093182 - 28 Apr 2023
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Objective: Long-term outcomes of mitral valve (MV) repair versus MV replacement for ischemic mitral regurgitation (IMR) in patients undergoing either prior (PCR) or concomitant coronary revascularization (CCR) by surgery (CABG) or intervention (PCI) are uncertain. Methods and Results: Of 446 patients receiving MV [...] Read more.
Objective: Long-term outcomes of mitral valve (MV) repair versus MV replacement for ischemic mitral regurgitation (IMR) in patients undergoing either prior (PCR) or concomitant coronary revascularization (CCR) by surgery (CABG) or intervention (PCI) are uncertain. Methods and Results: Of 446 patients receiving MV surgery for IMR between July 2006 and December 2010, 125 patients—87 CCR (69.1%) and 38 PCR (30.9%)—were eligible for inclusion in the study. Survival was higher in CCR versus PCR at long-term follow-up (78.83% vs. 57.9%, p = 0.016). The incidence of MACCE was lower in the CCR compared to PCR at both hospital discharge (34.11% vs. 63.57%, p = 0.003) and at follow-up (34.11% vs. 65.79%, p = 0.0008). Patients receiving CABG or CABG with PCI in PCR had higher mortality risks after MV surgery than CCR patients (X2 = 6.029, p = 0.014 and X2 = 6.466, p = 0.011, respectively). Whereas in the PCR group, MV repair and MV replacement achieved similar survival probability (X2 = 1.551, p = 0.213), MV repair in the CCR group led to improved survival compared to MV replacement (X2 = 3.921, p = 0.048). In MV replacement, LAD-CABG improved survival compared to LAD-PCI (U = 15,000.00, Z = −2.373 p = 0.018), and a substantial impact of arterial IMA-LAD grafting was revealed in the Cox-regression analysis (HR 0.334, CI: 0.113–0.989, p = 0.048) as opposed to venous-LAD grafting (HR 0.588, CI: 0.166–2.078, p = 0.410). Conclusion: Early treatment of IMR concomitant to coronary revascularization enhances long-term survival compared to delayed MV surgery after PCR. MV repair is not superior to MV replacement when performed late after coronary revascularization; however, MV repair leads to better survival than MV replacement when performed concomitantly with CABG with arterial LAD revascularization. Full article
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